Provider Information for 1275170979
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Ms. SAMANTHA AMANDA ADAMS MA APC NCC
Other Names:Former Name:SAMANTHA RUMBAUGH MA, APC, NCCSex: Female
NPI: 1275170979
Last Updated: 2019-12-02
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Details
Name | Value | ||||||||||||||
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NPI | 1275170979 | ||||||||||||||
Enumeration Date | 2019-12-02 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | NO | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 523 DIXIE ST CARROLLTON, GA 30117-3870 United States Phone: 770-812-8245 | Fax:770-812-8814 | ||||||||||||||
Primary Practice Address | 523 DIXIE ST CARROLLTON, GA 30117-3870 United States Phone: 770-812-8245 | Fax:770-812-8814 | ||||||||||||||
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